Embolism of the basilar artery — comprehensive treatment including mechanical thrombectomy

Abstract

Occlusion of the intracranial arteries is the cause of up to 80% of ischaemic strokes. Of these, 1% are caused by occlusion of the basilar artery. There are currently two methods for treating the acute phase of ischemic stroke: intravenous thrombolysis and mechanical recanalization of the blood vessel. We present the case of a 59-year-old man with basilar artery occlusion treated endovascularly. Treatment was begun in the second hour after onset of symptoms. First intravenous thrombolysis was performed, followed by mechanical thrombectomy. Complete reperfusion of the blood vessel was achieved and the patient’s neurological condition improved significantly. The patient was discharged after 10 days of treatment with a diagnosis of paroxysmal atrial fibrillation. Oral anticoagulants were used in secondary prevention.